Questions 168

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ATI RN Test Bank

ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 of 5

The nurse is assessing a client experiencing motor loss as the result of a left-sided stroke. Which of the following clinical manifestations related to motor loss would the nurse document?

Correct Answer: D

Rationale: A left-sided stroke causes right-sided motor loss, including paralysis and ataxia, due to contralateral brain control.

Question 2 of 5

The nurse is caring for a client diagnosed with cancer who is experiencing a decreased nutritional intake due to painful oral lesions. Which intervention would the nurse include in the plan of care?

Correct Answer: B

Rationale: Mouth care before and after meals minimizes discomfort and maintains oral hygiene, aiding nutritional intake.

Question 3 of 5

The nurse is planning care for a client diagnosed with heart failure who will soon be discharged home. What should be included in the teaching plan? The client will:

Correct Answer: A

Rationale: Daily weight monitoring detects fluid retention, critical for heart failure management.

Question 4 of 5

Which physical assessment findings would the nurse anticipate for a client with rapid atrial flutter?

Correct Answer: C

Rationale: Atrial flutter causes rapid atrial rates, leading to palpitations and shortness of breath due to inefficient cardiac output.

Question 5 of 5

The nurse is caring for a client post-operatively following an open (incisional) cholecystectomy. Which would be the priority nursing intervention for this client?

Correct Answer: C

Rationale: Using an incentive spirometer promotes lung expansion, reduces atelectasis risk, and improves oxygenation, which is critical post-operatively.

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